摘要
目的:为研究腹部外科MODS的诊治。方法:回顾本院1993年7月至1998年7月救治的47例腹部外科MODS。男29例,女18例,危重程度评分4-17分,平均8.2分。结果:病死率57.4％(27/47),其中两个器官受累者病死率31.8％(7/22),3个器官受累者病死率64.3％(9/14),4个以上器官受累者病100％(11/11)。结论:认为腹部外科MODS应通过早期彻底治疗原发病,以改善氧代谢为目标进行器官功能支持,保护相关器官及合理营养支持等综合措施进行防治。
To research the diagnosis and treatment of MODS in abdominal surgery.
Methods:During July 1993 and July 1998,47 MODS cases in abdominal surgery were treated in our hospital, including 29 males and 18 femal. The Scores for their seriousness are 4-17 and the average ones are 8.5. Results; Mortality rate was 37.4% (27/47), among which, 2 organs or systems dysfunction was 31.8% (7/22), 3 organs or systems dysfunction was 64.3% (9/14) ,4 and more than 4 organs or systems dysfunction was 100%(11/11). Conclusion:The measures to treat and prevent MODS in abdominal surgery were to treat primary disease early and completely, to improve oxygenation metabolism to maintain the function of organs and related ones, and to provide reasonable nutrition.
出处
《开封医专学报》
1998年第4期17-20,共4页
Journal of Henan University(Medical Science)
